The frequency of the patellar fracture is increasing because of increasing traffic accident & sports activities and its treatment is considered very important because the involvement of the articular surface occurs in most of it. The authors experienced 54 cases of patellar fracture from January, 1979 to October, 1980 at the Department of Orthopedic surgery, Capital Armed Forces General Hospital and the results were as follows. 1. The most fractures were encountered in man of 3rd. decade. 2. Thirty-eight (70.4%) fracture were induced by direct blow and the remainders were induced by indirect violence. 3. The most fractures were stellate, communited fractures (44.4%) and transverse fractures (37%) which mostly occured at the middle portion. 4. The most fractures were treated by conservative method, circumferential wiring, tension band technique and patellectomy, and the result of the tension band technique was superior to other operative methods (shorter immobilization time, rehabilitation time, and wide range of motion of the knee joint and longer midthigh circumference). 5. The rehabilitation period was shorter in the group of immobilization in 10° flexion of knee with cylinder cast than in the group of immobilization in full extension of knee. 6. Skin lacerations, femoral fractures, and tibial fractures were associated injuries, and the superficial infections and peroneal nerve palsy were complicated.
Accidents, Traffic ; Arm ; Clinical Study ; Femoral Fractures ; Hospitals, General ; Immobilization ; Knee ; Knee Joint ; Lacerations ; Methods ; Orthopedics ; Paralysis ; Patella ; Peroneal Nerve ; Range of Motion, Articular ; Rehabilitation ; Skin ; Sports ; Tibial Fractures ; Violence

Congenital dislocation of the hip has been known as one of the most common congenital anomalies in the orthopedic field since the time of Hippocrates (460-357 B.C.). The occurence of C.D.H. in twin babies is extremely rare thus few if any papers have been reported. During the period of January 1971 through June 1976 the authors have treated a total of 49 cases as inpatients. Two of these were twin babies. In both cases the hip was surgically reduced and followed by open reduction and femoral derotation osteotomy. Clinically and radiologically the results were good during the duration of follow-up seven months after operations.
Dislocations ; Follow-Up Studies ; Hip ; Humans ; Inpatients ; Orthopedics ; Osteotomy ; Twins

Rupture of the adductor longus muscle of the thigh is a rare injury. It is produced by several causes, but indirect force is much more frequent than other causes. Wide abduction of the legs may produce rupture of the adductor longus muscle. Palpable mass appears at the upper third of the thigh and become more prominent during contraction of the adductor muscles. We have had the opportunity to examine 5 patients with ruptured adductor longus muscles of the thigh and report them in this paper.
Humans ; Leg ; Muscles ; Rupture ; Thigh

Fractures of the carpal navicular is a serious injury, particulary in a manual worker, because non union and the resultant disability may limit the usefulness of the extremity. There is almost unanimous agreement that fresh fractures of the carpal navicular should be treated by immobilization in a plaster cast and how immobilization should be maintained. As a result of this study we have arrived at several conclusion regarding to the conservative treatment of fresh navicular fracture.
Casts, Surgical ; Clinical Study ; Extremities ; Immobilization

No abstract available.
Genetic Therapy*

No abstract available.
Breast* ; Glucuronidase* ; Lipase* ; Milk, Human*

PURPOSE: The purpose of this study was to analyze periodic screening behaviors for breast cancer and factors affecting the screening behaviors among hospital nurses. METHODS: A total of 461 nurses were recruited from 15 hospitals located in two southern areas of Korea. The Champion's Health Beliefs Model Scale-Korean version and a structured study questionnaire were used for data collection. Data were collected during July and August 2008. RESULTS: Nurses who performed periodic mammography accounted for 15.6% of the total, while 22.8% performed periodic breast self-examination (BSE). Among married nurses, the rates of periodic mammography and BSE were significantly different by age, menopausal status, delivery experience, family history of breast cancer, and experiences of cervical cancer screening. Significant factors affecting periodic mammography were family history of breast cancer, experiences of cervical cancer screening, age above 40, and performance of periodic BSE. For health beliefs, levels of severity, confidentiality and barrier were significant factors for periodic BSE. CONCLUSION: Nurses, who are role models for health promoting behaviors, did not adequately performing periodic BSE and mammography. A health promotion program for breast cancer designed for hospital nurses is needed to improve performance rates for periodic screening behaviors for breast cancer.
Breast ; Breast Neoplasms ; Breast Self-Examination ; Confidentiality ; Data Collection ; Health Promotion ; Humans ; Korea ; Mammography ; Mass Screening ; Surveys and Questionnaires ; Uterine Cervical Neoplasms

The os subfibulare is a relatively uncommon bony anomaly of the foot. It is usually found between the malleolus and talus and ossifies during adolescence or preadolescence. It can be demonstrated on routine anteroposterior ankle film of the foot. In 4 patients presented, the abnormality caused pain and frequent episodes of ankle strain. The pain was relieved in all patients treated by excision of the accessory bone.
Adolescent ; Ankle ; Foot ; Humans ; Talus

To cope with increasing demand on individualization in undergraduate medical education and to meet the effective learning in terms of buffering function to the explosive cumulation of biomedical scien tific knowledge and changing community needs, curricular renovation becomes a global trend. This step includes an important prerequisite aiming for encouragement of self-learning to prepare a confident life-long self-learner after graduation, as an effort looking forward the establishment of core curriculum and elective course. Among the various issues to adoption of elective course system in Korea, the followings are major concerns identified ; (1) lack of full understanding on its concept ; (2) educational misleading of the national licensing examination and decision-making body against future physician's roles and medical school objectives ; (3) lack of faculty effort or school incentive system on undergraduate medical education ; and (4) more basically, a socio-cultural intolerance against unequality among participants. Being aware of advantages of the elective course, an appropriate method that provides students an opportunity to determine future career choice after graduation with their earliest of the program, to facilitate a motivated learning and indepth study, and to encourage self-directed learning habit, should be developed during the undergraduate medical education program. We also conclude that medical community should explore all possible driving forces to eliminate the impeding factors as listed above and consider an appropriate evolutionary method including elective course of any scale or module during the undergraduate medical education program especially with emphasis for development of appropriate competency required for primary care physicians and research-minded specialists.
Career Choice ; Curriculum ; Education, Medical, Undergraduate* ; Humans ; Korea* ; Learning ; Licensure ; Motivation ; Physician's Role ; Physicians, Primary Care ; Schools, Medical ; Specialization

OBJECTIVES: This study was for analyzing the research about international marriage immigrant women and a trial to find the right direction for future research. METHODS: Sixty articles published from June, 2004 to June, 2009 were reviewed and analyzed according to the general characteristics, major of author, and theme of health domains. RESULTS: Most of them were master's thesis(71.7%) and journals(21.7%) and doctoral dissertation(6.7%) have been published mostly after thesis. Among 83.3% for quantitative research, descriptive(33.3%) and descriptive correlation(41.7%) methods were the most used and there were some qualitative researches(16.7%). The most frequently used data gathering method was questionnaire(81.7%) and the next was interview(16.7%). The major rates of the author were 61.7% for social welfare and 2.1% for nursing. The investigated variables in social health domain were adaptation(28.3%), and communication(1.7%). In psychological health domain, marriage satisfaction(16.7%), life satisfaction(11.7%), and depression(10.0%) were most researched. Utilization of medical center(5.0%) and health promotion behavior(1.7%) were investigated in physical health domain. CONCLUSIONS: Above this, most articles were researched about the adaptation of international marriage immigrant women. But the life in foreign countries can cause physical and psychosocial unhealthy conditions, so many-sided health related researches are supposed to be conducted for adaptation and prevention health problems of international marriage immigrant women.
Emigrants and Immigrants ; Female ; Health Promotion ; Humans ; Marriage ; Social Welfare